title: The engagement in physical activity for middle-aged and older adults with multiple chronic conditions: findings from a community health assessment.
abstract: The current aging trends accompanying the increasing prevalence of multiple chronic conditions (MCCs) and decreasing participation in physical activity (PA) have swept the United States. In light of the magnitude of this phenomenon, this study seeks to identify the most common MCC combinations and their relationships with PA level. A cross-sectional study, Brazos Valley Health Assessment, was conducted between October 2009 and July 2010. All data analyses were performed by STATA 12.0. The overall sample which met the inclusion criteria is 2,603. Among people older than 45 years, chronic conditions of cardiovascular, endocrine, and musculoskeletal systems were the most prevalent. Participants with three chronic conditions were less likely to meet the PA standard than those with only two chronic conditions. Younger age, women, rural residence, and unsafe environments were related to the lower PA level. After adjusting for seven covariates, all MCCs combinations adversely affect the level of PA (OR < 1.0, P < 0.05). People with MCCs were among the least active subgroups despite the health benefits of doing exercise. Given the well-documented benefits of physical activity for delaying the onset or progression of MCCs, public health efforts to enhance regular PA in middle-aged and older adults are recommended.
authors.affiliation: Health Policy & Management, Program on Health Workforce Analysis and Policy, School of Rural Public Health, Texas A&M Health Science Center, College Station, TX 77843-1266, USA.
authors.forename: Wei-Chen
authors.initials: WC
authors.lastname: Lee
authors.forename: Marcia G
authors.initials: MG
authors.lastname: Ory